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Work Activity Work Order <br />�31LL ,10ig <br />Page 1 <br />8/8/2012 15:56 <br />Issued By SJT2 SPOONER, JAMES T. <br />Issued Department aw PUBLIC WORKS <br />Date Issued mvzuls <br />Fund 40� Account 5 Pro�ram �to Function »s Activity 675 <br />Program <br />Title REPAIR .75 1NCH 4706 S 3RD AVE 710119675 <br />Work Order No 20121258 PfOJ2Ct Activity Type CORRECTIVE MAINTENANCE <br />$iBtUS 7A712012 _ TIRIB 74:57 l7fIJ1081V�� _ BI��I09_ _ . _ _ . . <br />Customer Iniortnation <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � � - <br />Second Phane ( 1 • <br />E-Mail Address <br />Problem Information <br />Address 4706 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street S 3RD AVE <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Iniormation <br />Dept <br />Crew <br />Contractor <br />Fssigned To <br />Assigned By <br />As^igned Date <br />Scheduled Date <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Mzp Refarence <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Eslimated Hours <br />Action Taken REPLACE .75 INCH CORP AND 11 FEET OF .75 INCH COPNER Wl .75 INCH POLY. BILL JOB <br />SERVICE WAS MARKED. <br />R@COfI7iT12Ild8d AC11011 BILI TO: SRV CONSTRUCTION INC <br />PO BOX 481 <br />OAK HARBOR, WA 90277 <br />Status CL <br />